Individual provider · Type 1 NPI

Paul C. Mattox, PA-C

Medical Physician Assistant · Bloomington, IN

NPI number 1568562007 Active

Practice location

500 S Liberty Dr Ste 482
Bloomington, IN 47403-1924

Fax (812) 353-6888

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 1501 Hartford St, Lafayette, IN 47904-2134 · (765) 423-6011
  • 7910 E Washington St Ste 110, Indianapolis, IN 46219 · (317) 355-3201

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10000648A (IN)
Medical Physician Assistant Primary 363AM0700X10000648A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1568562007

Paul C. Mattox, PA-C's National Provider Identifier is 1568562007, issued on Sep 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bloomington, IN. The record was last updated on Aug 12, 2026.